Varicose Vein Treatment
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- Опубликовано: 11 сен 2024
- Education on Varicose Veins, Veins, & Venous Insufficiency by world-renown vascular surgeon Mitar Vranic DO owner of Western Vascular Institute.
Venous (Vein) disease treatments (Symptoms, Causes, Diagnosis, Treatment,
i. Varicose Veins - Varicose Veins are more than just a cosmetic issue. These large bulging and gnarled veins can cause pain as well as blood clots, skin ulcers, and other serious problems. Our body has a system of veins that carry blood from the body tissues back to your heart. Once in the heart, the blood is sent to the lungs to be oxygenated then delivered to arteries which take this oxygen-rich blood again throughout your body. When the system of valves within the veins becomes “incompetent” and no longer pushes the blood upward toward your heart blood begins to pool within the vein. Because many veins are near the surface of the skin the pooling of blood creates visibly full veins that push outward creating the Varicose Vein.
Symptoms: Symptoms of Varicose Veins can be a pain in the legs, itching, swelling, burning, leg heaviness or tiredness, & skin discoloration. Generally, symptoms worsen throughout the day (especially in hot temperature) when individuals are standing and the veins are having difficulty pumping the blood back to the heart.
Causes: Varicose veins are caused by weak or damaged valves in the veins that are not able to work properly against gravity and push the blood back up to the heart. This inability of veins to function properly is called venous insufficiency and is the main problem behind varicose veins. There are several potential causes for Varicose Veins and risk factors that an individual may be more likely to get them.
Risk Factors: Pregnancy, menopause age over 50, standing for long periods of time, sedentary lifestyle, obesity-which increases the pressure on the legs and makes it more difficult for the veins to pump the blood upward.
Diagnosis: Will be done during a physical examination while standing with a vascular surgeon. The physicians of Western Vascular Institute will also request that you have a Doppler ultrasound scan to check the blood flow in the superficial and deep veins.
Treatment:
a. Compression stockings: prescription-grade compression stockings usually knee-high with 20mmHg-30mmHg of compression will help relieve some of the symptoms of Varicose Veins and are generally required as conservative management for a period of 3 months before more aggressive treatments are considered.
b. Ablation therapy: After a 90 period if the more conservative therapy is unsuccessful at providing optimal relief ablation therapy is an option. Western Vascular Institute uses the Covidien Venefit (ClosureFast) Radio Frequency Ablation option for ablation therapy
c. Ambulatory Phlebectomy - a minimally invasive procedure to remove varicose veins in the legs. In this procedure, a very small incision is made in the skin at the tip of the large bulging vein and the vein is pulled out through the incision. This procedure allows for a speedy recovery and very little downtime.
d. Sclerotherapy ( for Spider veins ) -using ultrasound to direct the placement of a small needle the provider will inject a sclerosing agent into the spider vein that will help the vein break down naturally and be reabsorbed by the bodies natural processes.
Staying Healthy: to prevent getting more varicose veins make sure to maintain a healthy weight by eating a balanced diet and exercise. Avoid wearing high heels or shoes that put undue stress on your leg muscles. Also, avoid long periods of standing or sitting.
I had this procedure done in December. It was not painful, I had a little discomfort for a couple days and bruising for weeks but glad I I had it done.
Did they talk about what happens when the vein opens up again?
@charbrooks Are you awake while the procedure is done ?
I could watch surgeries all day. The human body is amazing and every surgeon challenges the body. A battle worth watching. Thank you for doing what you do to help and educate what you do.
Thank you so much for your kind comment. I totally agree with you, the human body is so amazing!
I've had this EXACT procedure done on both legs. If you're on the fence... DO IT!!! My legs look fantastic and I also did for health reasons. It's completely painless.
That makes us so happy to hear! Thank you for your comment!
Are you awake while the procedure is done?
Quite informative. May I ask a question, please? Is it possible to use this procedure to reach incompetent perforators?
what is the frequency of the radio waves ?
If you have a stent in the illiac vein in your groin should you have this done. Please reply back
What is the max diameter that evlt and RFA will treat successfully? If anything 12mm and over not advised?
Endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) are minimally invasive procedures used to treat varicose veins and venous insufficiency by closing off diseased veins. The success of these procedures depends on various factors, including the diameter of the target vein, the extent of reflux, and the patient's overall health.
While there isn't a strict maximum diameter beyond which EVLA or RFA cannot be used, larger veins may present challenges and may not respond as effectively to these treatments. However, the decision to perform EVLA or RFA on a particular vein depends on the individual patient's condition and the judgment of the treating physician.
In general, veins with diameters exceeding 12 mm may be less ideal candidates for EVLA or RFA due to technical limitations and increased risk of complications. Larger veins may require additional interventions or alternative treatment approaches such as surgical ligation and stripping, phlebectomy, or foam sclerotherapy.
It's important for patients to undergo a thorough evaluation by a vascular surgeon or venous specialist to determine the most appropriate treatment option based on their specific anatomy, symptoms, and medical history. The treating physician will consider factors such as vein diameter, reflux severity, presence of varicosities, and overall patient health to develop a personalized treatment plan.
@@westernvascularinstitute6168I have swollen feet due to chronic venous insufficiency, what are the chances that it would be heal after the RFA?
will be the muscles and bones weaken overtime if a lot great varicose veins were removed?
You don’t get it do you. Varicose veins are no longer removed, there are now fantastic procedures available. I have been through the lot as was a C6 in my left leg due to a long misdiagnosed blood clot only in my 30s, which came out if the blue for no reason. I am now cured, but I had to choose my specialist very carefully as not all of them are experienced in working on perforator veins if you have any that are damaged.
Incidentally p, Sclerotherapy alone is ineffective on venous insufficiency as will not be permanent.
@@eveoakley6270I think you should let qualified professionals answer such questions. In response to a previous post, the doctors provided a detailed explanation of why varicose veins are removed. Every treatment protocol isn't applicable in every case, and stripping is still an option.
Sir my mom. Suffer pulmonary thrombolysis disease how can treat
Pulmonary thrombolysis, also known as pulmonary embolism (PE), is a serious medical condition where a blood clot lodges in the pulmonary arteries, blocking blood flow to the lungs. This can be life-threatening and requires immediate medical attention.
The treatment of pulmonary embolism can vary depending on the severity of the condition, the patient's overall health, and the presence of any other medical issues. Some common treatments and procedures that vascular surgeons and other specialists may employ include:
1. Anticoagulant Therapy: Anticoagulant medications such as heparin and warfarin are often prescribed to prevent further blood clot formation and to help dissolve existing clots.
2. Thrombolytic Therapy: In cases of severe or life-threatening pulmonary embolism, thrombolytic therapy may be used. Thrombolytic drugs, such as tissue plasminogen activator (tPA), are administered intravenously to help dissolve blood clots quickly.
3. Inferior Vena Cava (IVC) Filter Placement: In some cases where there is a high risk of recurrent pulmonary embolism or when anticoagulant therapy is contraindicated, a vascular surgeon may insert an IVC filter. This filter is placed in the inferior vena cava, a large vein in the abdomen, to trap blood clots before they reach the lungs.
4. Surgical Embolectomy: In rare cases where thrombolytic therapy is ineffective or contraindicated, surgical embolectomy may be performed. This procedure involves the surgical removal of the blood clot from the pulmonary arteries.
5. Catheter-Directed Thrombolysis: This minimally invasive procedure involves inserting a catheter into the blood vessels, usually through the groin, and delivering thrombolytic medication directly to the site of the blood clot.
6. Supportive Care: Patients with pulmonary embolism may also require supportive care, including oxygen therapy, pain management, and monitoring for complications such as respiratory failure or heart failure.
The choice of treatment depends on various factors, including the patient's overall health, the size and location of the blood clot, and the presence of any underlying medical conditions.